Sepsis & infection

Elevated antibiotic resistance gene abundance of ICU healthcare workers, a multicentre, cross-sectional study

Crit CarePublished Cross-sectional study

Main finding · Total ARG abundanceResult — go to the resultFold change 1.22 95% CI 1.12–1.34

Authors' conclusion

In this prospective, multicenter study, we found that ICU healthcare workers exhibit significantly higher gut ARGs abundance compared to healthy controls.

Study context

Population
ICU healthcare workers and healthy controls, 8 medical centres in China, January–February 2024290 analysed
Participants
303 workers
Exposure
ICU healthcare workers vs healthy controls
  • ICU healthcare workersn = 191
  • Healthy controlsn = 99reference
Outcome
Total antibiotic resistance gene (ARG) abundance in fecal metagenomic sequencing
Methodological detailsprospective, multicentre
  • Prospective
  • Multicentre

Main finding

Total ARG abundance

Fold change

1.22

95% CI 1.12–1.34

P < 0.001

ICU healthcare workers vs Healthy controls
fold change 1.22 (95% CI 1.12–1.34); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

ARG β-diversity

Differed significantly between the two groups
P = 0.001

Duration of ICU occupational exposure vs ARG abundance

No significant linear or nonlinear relationship (p for overall)
0.96
p for nonlinear
0.84

Original publication

Elevated antibiotic resistance gene abundance of ICU healthcare workers, a multicentre, cross-sectional study. Crit Care. Published 30 April 2025. doi:10.1186/s13054-025-05408-5

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